K090 – Pre-operative medical management of a bariatric surgery patient in a Bariatric RATC
OHIP Consultation & Visit Premium Codes Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Pre-operative medical management of a bariatric surgery patient is the supervision and pre-operative management of a bariatric surgery patient who is registered with, and, who is undergoing pre-operative medical evaluation and preparation related to bariatric surgery in a BCoE or Bariatric RATC. The applicable service is payable only to the physician at the BCoE or Bariatric RATC who is most responsible for the supervision and medical management of the patient in the pre-operative period. In addition to the Common Elements in this Schedule, this service includes the provision of the following services to the same patient, during the pre-operative period: a. All medication reviews. b. All telephone calls involving the staff, patient, patient’s relative(s) or patient’s representative and the physician in connection with the patient.
When to Use
- Use K090 to claim for the ongoing medical supervision of a patient who has been cleared for surgery but is awaiting their procedure date within a designated BCoE or RATC.
- Apply this code when managing the pre-operative optimization of comorbidities (e.g., diabetes or hypertension) specifically for a patient enrolled in the formal bariatric surgical pathway.
Common Pitfalls
- Billing K090 for patients who are not formally registered within a BCoE or RATC program, as this is a strict eligibility requirement.
- Attempting to bill K090 for telephone calls or medication reviews separately, as these services are explicitly bundled into the K090 fee.
- Claiming K090 for patients who have not yet been formally determined to be surgical candidates, as the pre-operative period only begins once candidacy is confirmed.
Billing Tips
- Ensure you are the physician most responsible for the pre-operative medical management, as this code is intended for the primary medical lead rather than the surgeon.
- You may continue to bill standard office visits (A007) or specific assessments in addition to K090, as these remain eligible for payment under the Schedule of Benefits.
Effective: April 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
ManagementFee
Assessments
The pre-operative period for this service is defined as the period between the date the patient is determined to be a surgical candidate and the date that bariatric surgery is performed.
Consultations, assessments and procedures rendered by the physician who is most responsible for the supervision and management during the pre-operative period may be eligible for payment in addition to K090.
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